Individual
JONATHAN WILLIAM KOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2417 MICHIGAN AVE, SANTA MONICA, CA 90404-4009
(855) 446-4374
(415) 520-6405
Mailing address
2417 MICHIGAN AVE, SANTA MONICA, CA 90404-4009
(855) 446-4374
(415) 520-6405
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2020013190
MO
2084P0800X
Psychiatry Physician
MD15904
RI
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A169665
CA
Other
Enumeration date
05/30/2013
Last updated
10/29/2024
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